Provider Demographics
NPI:1881768810
Name:ORANDI, ALI (MD)
Entity type:Individual
Prefix:DR
First Name:ALI
Middle Name:
Last Name:ORANDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 GREENWOOD AVE
Mailing Address - Street 2:STE 20
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49203
Mailing Address - Country:US
Mailing Address - Phone:517-990-0029
Mailing Address - Fax:517-990-0039
Practice Address - Street 1:1310 GREENWOOD AVE
Practice Address - Street 2:STE 20
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203-3077
Practice Address - Country:US
Practice Address - Phone:517-990-0029
Practice Address - Fax:517-990-0039
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAO061289207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA139521OtherPREF CHOICES
MI4390534OtherCIGNA
MI1103811341OtherBCBS
MI1103811341OtherBCN
MI5734407OtherAETNA
MI04-20088OtherPHP
MA139521OtherPREF CHOICES
MI04-20088OtherPHP